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EP-10-2010 11:16A FROM:DRHL ELECTRIC-EVERET 425-252-2999 TO:4252576857 P.111 <br />f <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM T M <br />/.J SO <br />PROJECT ADDRESS <br />4wje7E 11s 6_4�2 -a7 Idly 98�03 Z�-ssGa <br />Owner Mall Address City Slaterzip Phone <br />Tenant Mail Address City Slatemp Phone <br />/ yes - <br />�eucAZz_Ac/✓SW T h/,4 5 S2o1 .- s2-f7oo <br />Electrical Contractor Mall Address City State/Zip Phone <br />* 1) # *L 7_�T 9'2 D a//Oo, o0 <br />Stale License Number Contract Price of Work <br />7wd657 D 4EF,J7 —l.4 e— <br />-- <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done:�}-(�r-y/i/GdnLe <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS. MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I have read and examined this application and know the same to be true and ci a v - -r 0 <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether speclAed herein or not. The granting of a permit does not presume to give aufhority to <br />violate orcencel Ilia provislons of any other state or local law regulating construction or the <br />performance of construction. That I am authorized by the cwner of this property to perform the <br />ication Is &tV'6 / <br />ado and I comply with the State <br />aw 18 27 RCW and work for whi appl <br />Sip Date <br />don <br />